How much can I sav e if I quit smoking? - IHIapp.ihi.org/.../Document-5745/smoking_cessation_storyboard.pdf · How much can I sav e if I quit smoking? Packs 1 day 1 year 10 years
Post on 23-May-2018
212 Views
Preview:
Transcript
How much can I save if I
quit smoking?
Packs 1 day 1 year 10 years
half $3.5 $1300 $13,000 1 $7 $2600 $26,000 2 $14 $5200 $52,000
Introduction & Background
Aim
Methods
Lessons Learned
Baseline Data and Results
Conclusions
IMPROVING SMOKING CESSATION IN
PRIMARY CAREMonica Khunger, Pete Spanos, Aniko Kukla, Michelle Slater, Joseph Graber, Alessandra Lyman PS & Nicole Mongilardi
Louis Stokes Cleveland VA Medical Center, Center of Excellence in Primary Care Education, Cleveland, OH
• Smoking remains leading preventable cause of
death in the US with only 1/3rd of patients using
available treatments.
• Behavioral support and advice from a clinic run by
smoking cessation specialists is effective in aiding
smoking cessation.
• Programs of support involving multiple contacts for
a period of four weeks or more given by specialists
enables, on average, about one in 20 attempts to
quit to succeed for six months or more that would
not otherwise have done.
• Prevent clinic data collected
from 1st July 2014 to 30th June
2016 from electronic medical
record (CPRS)
• We considered someone as a
smoker if either “health factor”
or ICD identified them as
“tobacco user”
• Total number of smokers in
primary care clinic panel: 1685
• LPN and residents surveys
performed
-Increase patient referral and patient
attendance to the PREVENT CLINIC
(multidisciplinary program for veterans for
smoking cessation) by 15 percent in 6
months
INTERVENTIONS PERFORMED:
• Education to residents about PREVENT clinic.
• Surveyed residents to identify possible
barriers for PREVENT clinic referral.
• Surveyed LPNs to identify frequency of
patients’smoking status.
• Surveyed LPNs to assess knowledge of
various VA resources for smoking cessation.
• “Costs of cigarettes” fliers displayed in clinic
and handed to patients at check in.
• Costs ofFliers about Same fliers handed by
receptionist upon check in of each
outpatient visit in addition to given by the
LPNs while taking vital signs and providing
immunizations.
• Discussion with providers in morning huddles
and discussion with LPN’s about smoking
cessation resources
References
• By using simple, low cost strategies i.e. fliers and informing the key stakeholders
about available resources we were able to increase the number of patients
scheduled to the smoking cessation clinic by more than 15% in six months.
Stead, L. F., Bergson, G., & Lancaster, T. (2008). Physician advice for smoking cessation. The Cochrane Library.
Sherman, S. E., Yano, E. M., Lanto, A. B., Simon, B. F., & Rubenstein, L. V. (2005). Smokers’ interest in quitting and services received: using practice information to plan
quality improvement and policy for smoking cessation. American Journal of Medical Quality, 20(1), 33-39.
Meredith, L. S., Yano, E. M., Hickey, S. C., & Sherman, S. E. (2005). Primary care provider attitudes are associated with smoking cessation counseling and referral. Medical
care, 43(9), 929-934.
Suls, J. M., Luger, T. M., Curry, S. J., Mermelstein, R. J., Sporer, A. K., & An, L. C. (2012). Efficacy of smoking-cessation interventions for young adults: a meta-analysis.
American journal of preventive medicine, 42(6), 655-662.
Anczak JD, Nogler RA. Tobacco Cessation in Primary Care: Maximizing Intervention Strategies. Clinical Medicine and Research. 2003;1(3):201-216.
• Involve stakeholders early
• Assign ownership of a task to an individual
• Continuously measure and monitor results to ensure the intervention is working
• Collect baseline data before choosing an intervention
• Be flexible with the interventions and the aim statement
• Continue to improve based on available data
top related